title: Symptomatic hydronephrosis from renal artery aneurysm associated with fibromuscular dysplasia: management with transarterial embolization.
abstract: A 56-year-old woman presented with right-sided flank pain, dizziness, and nausea. Ultrasonography revealed hydronephrosis of the right kidney. CT showed a nodular mass at the ureteropelvic junction. Subsequent CT angiography revealed the nodular mass as a distal aneurysm of the right renal artery compromising the ureteropelvic junction. Selective diagnostic angiography confirmed the diagnosis of a distal renal artery aneurysm. Moreover, angiography incidentally detected fibromuscular dysplasia of both renal arteries. The renal artery aneurysm was then successfully managed by transarterial embolization using detachable bioactive coils.
authors.affiliation: Department of Urology, Asklepios Hospital Barmbek, Hamburg, Germany. c.netsch@asklepios.com
authors.forename: Christopher
authors.initials: C
authors.lastname: Netsch
authors.forename: Andreas J
authors.initials: AJ
authors.lastname: Gross
authors.forename: Roland
authors.initials: R
authors.lastname: Brüning
mesh_terms: D000783:Aneurysm / Q000150:complications* / Q000000981:diagnostic imaging / Q000628:therapy*; D000792:Angiography; D004621:Embolization, Therapeutic / Q000379:methods*; D005260:Female; D005352:Fibromuscular Dysplasia / Q000150:complications* / Q000628:therapy; D006801:Humans; D006869:Hydronephrosis / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy*; D008875:Middle Aged; D012077:Renal Artery / Q000000981:diagnostic imaging / Q000473:pathology*; D014057:Tomography, X-Ray Computed